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Zhou Y, Sun P, Cao Y, Yang J, Wu Q, Peng J

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Historically, Type 1 diabetes has presented significant challenges for FAA medical certification due to the inherent risks of insulin-induced hypoglycemia and its potential to impair concentration, cause confusion, or lead to unconsciousness in the cockpit

Some patients report increased abdominal discomfort, cramping, or bloating when initiating therapy, which may be particularly distressing for individuals already experiencing heightened gut sensitivity

As with Cushings disease, no clear evidence exists as to the optimal treatment of impaired glucose tolerance and diabetes associated with acromegaly